Provider Demographics
NPI:1942621784
Name:GI EXCELLENCE INC
Entity type:Organization
Organization Name:GI EXCELLENCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:INDRANEEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAKRABARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-652-2252
Mailing Address - Street 1:521 E ELDER ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-3083
Mailing Address - Country:US
Mailing Address - Phone:951-652-2252
Mailing Address - Fax:951-652-3173
Practice Address - Street 1:521 E ELDER ST
Practice Address - Street 2:SUITE 206
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-3083
Practice Address - Country:US
Practice Address - Phone:951-652-2252
Practice Address - Fax:951-652-3173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-20
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty